Surgical equipment control input visualization field

ABSTRACT

A control console includes a first input control operable by an operator and outside of a field of view of the operator, a display within the field of view of the operator, and a first image capture device. The first image capture device acquires a first image of a physical environment surrounding the first input control and at least part of the first input control. The first image is output on the display. In some embodiments, a second image of a work site may also be displayed, so that the operator can locate and operate the first input control while continuously viewing the second image of the work site.

RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.14/785,726, filed Oct. 20, 2015, which is the U.S. national phase ofInternational Application No. PCT/US2014/035258, filed Apr. 24, 2014,which designated the U.S. and claims priority to U.S. provisional patentapplication 61/815,973, filed on Apr. 25, 2013, the contents of each ofwhich are incorporated herein by reference.

TECHNICAL FIELD

The present disclosure is directed to systems and methods for surgery,and more particularly to systems and methods for providing clinicianswith viewing of a surgical site and a medical equipment controlcomponent outside his field of view.

BACKGROUND

It is a primary objective of surgery, whether open or through the use ofminimally invasive techniques, to reduce the duration of the procedureand minimize blood loss, the risk of infection, and other bad sideeffects. With the advent of new surgical equipment, additional equipmentand technologies are incorporated into the procedure with the primarypurpose of improving the efficacy of the procedure. Incorporation of newequipment and technologies into procedures sometimes complicates thingsby requiring the surgeon to access additional control components. Inopen surgery, the surgeon's field of view typically includes only thesurgeon's hands and not the surgeon's feet. Alternatively, duringminimally invasive surgery, the surgeon's attention is typically focusedon a video display of the surgical site. Here, the surgeon's own handsand the control components they operate are likely outside his or herfield of view. If the surgeon seeks to locate a control componentoutside his field of view, the surgery must be interrupted, howeverbriefly, to permit the surgeon to turn away from the surgical site. Suchinterruptions and distractions disturb surgical work flow, and increasedprocedure duration or even patient harm may result. Improved systems andmethods are needed to allow a surgeon to easily access various surgicalequipment control components while minimizing impact on surgical workflow.

SUMMARY

The present invention provides systems and methods for medical personsto view surgical equipment control components outside his or her fieldof view during surgery. The systems provided include an image capturedevice and a display coupled to the image capture device. The imagecapture device is configured to capture within its field of view part ofa surgical equipment control component. This image captured by the imagecapture device is output by the display. The display is positionedwithin the field of view of the medical person operating the surgicalequipment control component.

The methods provided involve capturing an image containing part of asurgical equipment control component and part of the body part of themedical person used to operate the surgical equipment control component.The captured image is then displayed to the medical person operating thesurgical equipment control component.

BRIEF DESCRIPTIONS OF THE DRAWINGS

Aspects of the present disclosure are best understood from the followingdetailed description when read with the accompanying figures. Variousfeatures are not drawn to scale. The dimensions of the various featuresmay be arbitrarily increased or reduced for clarity of discussion.

FIG. 1 is a diagrammatic view of display system components.

FIG. 2 is a plan view of a telesurgical robotic system.

FIG. 3 is a front elevation view of a master control console in atelesurgical robotic system.

FIG. 4 is a front elevation view of a robotic slave device manipulatorcart in a telesurgical robotic system.

FIGS. 5A, 5B, and 5C are perspective views that illustrate a surgeon'sfoot on various foot pedals.

FIG. 6 is an image of the surgical site and an image of thetouch-sensitive control interface, output on a single display.

DETAILED DESCRIPTION

This description and the accompanying drawings that illustrate inventiveaspects, embodiments, implementations, or applications should not betaken as limiting—the claims define the protected invention. Variousmechanical, compositional, structural, electrical, and operationalchanges may be made without departing from the spirit and scope of thisdescription and the claims. In some instances, well-known circuits,structures, or techniques have not been shown or described in detail inorder not to obscure the invention. Like numbers in two or more figuresrepresent the same or similar elements.

Further, this description's terminology is not intended to limit theinvention. For example, spatially relative terms—such as “beneath”,“below”, “lower”, “above”, “upper”, “proximal”, “distal”, and thelike—may be used to describe one element's or feature's relationship toanother element or feature as illustrated in the figures. Thesespatially relative terms are intended to encompass different positions(i.e., locations) and orientations (i.e., rotational placements) of adevice in use or operation in addition to the position and orientationshown in the figures. For example, if a device in the figures is turnedover, elements described as “below” or “beneath” other elements orfeatures would then be “above” or “over” the other elements or features.Thus, the exemplary term “below” can encompass both positions andorientations of above and below. A device may be otherwise oriented(rotated 90 degrees or at other orientations) and the spatially relativedescriptors used herein interpreted accordingly. Likewise, descriptionsof movement along and around various axes include various special devicepositions and orientations. In addition, the singular forms “a”, “an”,and “the” are intended to include the plural forms as well, unless thecontext indicates otherwise. And, the terms “comprises”, “comprising”,“includes”, and the like specify the presence of stated features, steps,operations, elements, and/or components but do not preclude the presenceor addition of one or more other features, steps, operations, elements,components, and/or groups. Components described as coupled may beelectrically or mechanically directly coupled, or they may be indirectlycoupled via one or more intermediate components.

Elements described in detail with reference to one embodiment,implementation, or application may, whenever practical, be included inother embodiments, implementations, or applications in which they arenot specifically shown or described. For example, if an element isdescribed in detail with reference to one embodiment and is notdescribed with reference to a second embodiment, the element maynevertheless be claimed as included in the second embodiment. Thus, toavoid unnecessary repetition in the following description, one or moreelements shown and described in association with one embodiment,implementation, or application may be incorporated into otherembodiments, implementations, or aspects unless specifically describedotherwise, unless the one or more elements would make an embodiment orimplementation non-functional, or unless two or more of the elementsprovide conflicting functions.

Aspects of the invention are described primarily in terms of animplementation using a da Vinci™ Surgical System (specifically, a ModelIS3000, marketed as the da Vinci™ Si™ HD™ Surgical System),commercialized by Intuitive Surgical, Inc. of Sunnyvale, Calif.Knowledgeable persons will understand, however, that inventive aspectsdisclosed herein may be embodied and implemented in various ways,including robotic and, if applicable, non-robotic embodiments andimplementations. Implementations on da Vinci™ Surgical Systems (e.g.,the Model IS3000; the Model IS2000, commercialized as the da Vinci™ S™HD™ Surgical System) are merely exemplary and are not to be consideredas limiting the scope of the inventive aspects disclosed herein.

FIG. 1 is a diagrammatic view of a display system 100. Display system100 includes an image capture device 102 and a display 104 coupled tocapture and output moving visual (video) images 106 from image capturedevice 102. Image capture device 102 is positioned so that a controlcomponent 108 for a surgical equipment device controller 110 is withinimage capture device 102's field of view 112. Image capture device 102may be monoscopic or stereoscopic.

As shown in FIG. 1, a medical person 114 (e.g., a surgeon or othermedically trained person) operates control component 108. FIG. 1 showsperson 114 operating control component 108 with a foot 114 a, which isillustrative of various ways to operate the control component (e.g.,with a hand, finger, elbow, knee, etc.). Display 104 is positioned sothat images 106 from image capture device 102 are output within person114's field of view 114 b.

FIG. 1 also shows a surgical image capture device 116 positioned tocapture and output moving visual images 118 of a surgical site 120,which is within surgical image capture device 116's field of view 116 a.For minimally invasive surgery implementations, surgical image capturedevice 116 is an endoscope (mono- or stereoscopic). Moving visual images118 are received and output by display 104. Consequently, in someaspects person 114 simultaneously views both images 106 and images 118,as described in more detail below. Where such simultaneous viewing isdesired, it should be appreciated that as an alternative to images 106and images 118 both being received and output by display 104, anadditional display (not shown) positioned within person 114's field ofview 114 b may be used. In such aspects, images 106 or images 118 arereceived and output by display 104, and the images 106,118 not receivedand output by display 104 are received and output by the additionaldisplay (not shown) so that both images 106 and images 118 are outputwithin person 114's field of view 114 b.

In some aspects, surgical equipment device controller 110 controls afeature of a device 122 at the surgical site 120. For example, device122 may be an electrosurgical instrument, and so surgical equipmentdevice controller 110 is an electrosurgical energy generator that iscoupled to route electrosurgical energy (e.g., for cutting, for cautery,and the like) to device 122. In this example, control component 108functions as an on/off control for the electrosurgical generator, sothat person 114 can control application of electrosurgical energy at thesurgical site. The electrosurgical energy function is merelyillustrative, and various other surgical functions can be similarlycontrolled, such as suction, irrigation, other tissue fusing functions,tissue stapling functions, endoscopic camera control and illuminationfunctions, robotic master/slave control functions, etc. Similarly, andas an alternative by dashed line, surgical equipment device controller110 may control equipment 124 that does not directly affect the surgicalsite. Examples of such equipment 124 include operating room environmentfunctions, patient data display functions, and any other function asurgeon may want to directly control via control component 108 whileperforming surgery.

Since the operating room environment may include more than one controlcomponent 108, various combinations of one or more image capture devices102 may be used to capture images of the various control components. Forinstance, an image of two or more control components 108 may be capturedin a single image capture device 102's field of view. Alternatively, animage of one or more control components 108 may be captured in one imagecapture device 102's field of view, and another image of one or moreadditional control components 108 may be captured in another imagecapture device 102's field of view. And, an image of a control component108 may be captured in two or more image capture devices' 102 fields ofview. Consequently, in implementations that include two or more imagecapture devices 102, one, two, or more corresponding images can beoutput at display 104.

FIG. 1 further illustrates that person 114 may control device 122 at thesurgical site in various ways, represented by dashed line. In oneaspect, device 122 is a manually operated surgical instrument thatperson 114 directly operates. Since at least a portion of device 122 iswithin image capture device 116's field of view 116 a, person 114 seesboth device 122's motion and the person 114's physical relation tocontrol component 108 in display 104. Alternatively, in other aspects,person 114 operates a telesurgical robotic master control component (notshown), and device 122 is a surgical instrument robotically slaved tofollow telesurgical robotic master control component's motion and otheroptional control inputs.

In one aspect, additionally or as an alternative to image capture device102, display system 100 includes one or more sensors (e.g., infraredbeam detectors) positioned to acquire information about the physicalenvironment of control component 108. Display system 100 usesinformation acquired by the one or more sensors to create acomputer-generated representation showing control component 108 and itsinteraction(s) with its immediate surroundings. In one aspect, controlcomponent 108 is operated by person 114's foot. Infrared beam detectorspositioned on and/or around control component 108 detect the position ofperson 114's foot as it moves towards and away from control component108. A computer-generated representation of this information isdisplayed to person 114 on display 104.

FIG. 2 is a plan view of a telesurgical robotic system 200 used toperform minimally invasive surgery. The telesurgical robotic system 200includes a master control console 204 and a robotic slave devicemanipulator cart 210. FIG. 3 is a front elevation view of a mastercontrol console 204. The master control console 204 includes a controlconsole stereoscopic display 104 a. The control console stereoscopicdisplay 104 a is coupled to a stereoscopic endoscope (not shown; seeFIG. 4, element 116 b) that is configured to capture an image of thesurgical site. The master control console 204 also includes a lefttelesurgical robotic master control component 108 a, a righttelesurgical robotic master control component 108 b, a foot pedalassembly 108 d, a touch-sensitive display control interface 108 c, and acontrol component image capture device 102 a. The control componentimage capture device 102 a may be monoscopic or stereoscopic.

During use of the telesurgical robotic system 200, an operator seated atthe master control console 204 operates one or more telesurgical roboticmaster control component(s) 108 a,108 b to control the movement of oneor more corresponding surgical instruments robotically slaved to followthe motion of the corresponding telesurgical robotic master controlcomponent. The operator's control of the robotically slaved surgicalinstruments (not shown; see FIG. 4, element 122 a; see also FIG. 1,element 122) is facilitated by the video image of the surgical site (notshown; see FIG. 6, element 610) captured by the stereoscopic endoscope(not shown; see FIG. 4, element 116 b; see also FIG. 1, element 116)that is received and output to the operator by the control consolestereoscopic display 104 a.

FIG. 4 is a front elevation view of a robotic slave device manipulatorcart 210. The robotic slave device manipulator cart 210 includes anendoscope manipulator 408, a first instrument manipulator 410, a secondinstrument manipulator 420, and a third instrument manipulator 430. Theendoscope manipulator 408 is configured to allow a stereoscopicendoscope 116 b (see also FIG. 1, element 116) to be releasably coupled.The first instrument manipulator 410, the second instrument manipulator420, and the third instrument manipulator 430 are each configured toallow a robotically slaved surgical instrument 122 a (see also FIG. 1,element 122) to be releasably coupled and operated.

During use of telesurgical robotic system 200, the stereoscopicendoscope 116 b is configured to capture within its field of view thesurgical site and the parts of the robotically slaved surgicalinstruments 122 a manipulating tissue at the surgical site. Thestereoscopic endoscope 116 b is coupled to the control consolestereoscopic display 104 a, thereby enabling the control consolestereoscopic display 104 a to receive the surgical site image capturedby the stereoscopic endoscope 116 b and output the image to the operatorof telesurgical robotic system 200.

Referring to FIG. 3, as discussed above, the master control console 204includes a touch-sensitive display control interface 108 c and a footpedal assembly 108 d. The touch-sensitive display control interface 108c and the foot pedal assembly 108 d provide the operator of thetelesurgical robotic system 200 with access to a variety of controlcomponents. Some of these control components may control surgicalfunctions that directly affect the surgical site such as suction,irrigation, tissue fusing functions, tissue stapling functions,endoscopic camera control and illumination functions, roboticmaster/slave control functions, etc. Other control components maycontrol functions that do not directly affect the surgical site, such asoperating room environment functions, patient data display functions, orany other function a surgeon may want to directly control whileperforming surgery.

During normal operation of the telesurgical robotic system 200, theoperator of the telesurgical robotic system 200 operates the lefttelesurgical robotic master control component 108 a using the left handand the right telesurgical robotic master control component 108 b usingthe right hand to control corresponding robotically slaved instruments122 a located at the surgical site. The operator's actions arefacilitated by the surgical site image captured by the stereoscopicendoscope 116 b, which is received by the control console stereoscopicdisplay 104 a and output to the operator. A consequence of thetelesurgical robotic system 200 operator viewing the surgical site imageon the stereoscopic display 104 a, however, is that the operator's fieldof view is generally limited to the field of view of the stereoscopicendoscope 116 b capturing the surgical site image. If the operator ofthe telesurgical robotic system 200 seeks to operate a control componentthat his or her corresponding operating body part has not yet located(e.g., a hand-operated control component located on the touch-sensitivedisplay control interface 108 c, a foot-operated control component thatis not located immediately beneath the operating foot, etc.), he or shegenerally must look away from the surgical site image output on thecontrol console stereoscopic display 104 a to locate and actuate thiscontrol component.

It should be appreciated that it is desirable to minimize the extent towhich the operator of the telesurgical robotic system 200 is required todivert his attention from the surgical site when he seeks access tocontrol components located on the touch-sensitive display controlinterface 108 c, on the foot pedal assembly 108 d, or at any otherlocation accessible to the operator while the operator is seated at themaster control console 204. In accordance with some aspects, a controlcomponent image capture device 102 a (mono- or stereoscopic) is coupledto the control console stereoscopic display 104 a and is configured tocapture within its field of view a control component accessible to theoperator of the telesurgical robotic system 200. Both the controlcomponent image captured by the control component image capture device102 a and the surgical site image captured by the stereoscopic endoscope116 b are received and output by the control console stereoscopicdisplay 104 a. It should be appreciated that the control component imageand the surgical image may be displayed concurrently on the stereoscopicdisplay 104 a or alternatively be displayed one at a time.

In some aspects, the control component image capture device 102 a isconfigured to capture within its field of view a control component andthe control component's surroundings. In these aspects, the operator ofthe telesurgical robotic system 200 is able to view the physicalrelation between the operator's body part used to actuate the controlcomponent and the control component itself as the operator's body partapproaches and/or moves away from the control component. As discussedearlier, control component image capture device 102 a may be monoscopicor stereoscopic. If stereoscopic, the corresponding depth sensation fromthe image displayed to the operator helps the operator position theoperating body part on the control component. As an example, the abilityof the telesurgical robotic system 200 operator to view on the controlconsole stereoscopic display 104 a the relation between the operator'sfeet and various foot-operated control components located on the footpedal assembly 108 d facilitates the operator's repositioning of hisfeet to actuate the various foot-operated control components during asurgical procedure without looking away from the control consolestereoscopic display 104 a, and correspondingly the surgical site imagedisplayed thereupon.

FIGS. 5A, 5B, and 5C are perspective views showing illustrative controlcomponents located on the foot pedal assembly 108 d, including a firstright foot control component 108 e and a second right foot controlcomponent 108 f. Also shown is part of the telesurgical robotic system200 operator's right foot 114 c. FIG. 5A shows the operator's right foot114 c actuating the first right foot control component 108 e. FIG. 5Bshows the operator's right foot 114 c as it moves away from the firstright foot control component 108 e and approaches the second rightcontrol component 108 f. FIG. 5C shows the operator's right foot 114 cactuating the second right foot control component 108 f. In thisexample, the first right foot control component 108 e functions as anon/off control for the electrosurgical generator, controlling theapplication of electrosurgical energy delivered to the tip of arobotically slaved surgical instrument (not shown; see FIGS. 1 and 4)coupled to the left telesurgical robotic master control component 108 a.The second right foot control component 108 f also functions as anon/off control for the electrosurgical generator, controllingapplication of electrosurgical energy delivered to the tip of arobotically slaved surgical instrument coupled to the right telesurgicalrobotic master control component 108 b. As discussed earlier, it shouldbe appreciated that in some aspects, the foot-operated controlcomponents control functions other than electrosurgical functions. Asdiscussed above, these foot-operated control components may controlsurgical functions that directly affect the surgical site such assuction, irrigation, tissue fusing functions, tissue stapling functions,endoscopic camera control and illumination functions, roboticmaster/slave control functions, etc. Other foot-operated controlcomponents may control functions that do not directly affect thesurgical site such as operating room environment functions, patient datadisplay functions, or any other function a surgeon may want to directlycontrol while performing surgery. It should also be appreciated that insome aspects, the control component image capture device 102 a captureswithin its field of view control components operated by a body part notthe operator's right foot 114 c. In this example, use of a right foot114 c to operate a control component is merely illustrative, as the bodypart used by the telesurgical robotic system 200 operator depends on thephysical relation between the operator's body and the control component.In some aspects, the control component captured within the field of viewof the control component image capture device 102 a is positioned to beactuated by the operator's left foot, the operator's hand(s), theoperator's elbow(s), etc. For example, the control component imagecapture device 102 may be configured to capture within its field of viewan image containing one or more telesurgical robotic master controlcomponent(s) 108 a, 108 b and the immediate surroundings, to bedisplayed by control console stereoscopic display 104 a.

In accordance with some aspects, FIG. 6 is an image as viewed from thecontrol console stereoscopic display 104 a, and it includes a surgicalsite image 610 received from the stereoscopic endoscope 116 b and acontrol component image 620 received from the control component imagecapture device 102 a. As shown in FIG. 6, the surgical site image 610and the control component image 620 may be concurrently output by thecontrol console stereoscopic display for viewing by the operator of thetelesurgical robotic system. In this example, the control componentimage capture device 102 a is configured to capture within its field ofview the touch-sensitive display control interface 108 c located on themaster control console 204. In this illustrative example display, thetouch-sensitive display control interface 108 c includes an endoscopeillumination control component 108 g to adjust the brightness settingson the endoscope illuminator that is the source of light 116 b used toilluminate the surgical site. As shown, the control component image 620includes both the endoscope illumination control component 108 g and thesurroundings of the endoscope illumination control component 108 g. As aresult, the operator of telesurgical robotic system 200 is able tolocate and operate the endoscope illumination control component 108 glocated on the touch-sensitive display control interface 108 c byobserving the control component image 620 while concurrently observingthe effects of his or her actions on the surgical site in real time inthe surgical site image 610. It should be appreciated that use of theendoscope illumination control component 108 g is merely illustrative ofthe various control components accessible through the touch-sensitivedisplay control interface 108 c. As discussed above, the touch-sensitivedisplay control interface 108 c may provide control components forcontrol of various surgical functions that directly affect the surgicalsite such as suction, irrigation, tissue fusing functions, tissuestapling functions, endoscopic camera control and illuminationfunctions, robotic master/slave control functions, etc. Other controlcomponents accessible through the touch-sensitive display controlinterface 108 c may control functions that do not directly affect thesurgical site such as operating room environment functions, patient datadisplay functions, or any other function a surgeon may want to directlycontrol while performing surgery. It should also be appreciated that inthis example, use of the operator's hand to operate a control componentlocated on the touch-sensitive display control interface 108 c is merelyillustrative of the many body parts of the operator that can be used tooperate the many control components accessible to the operator of thetelesurgical robotic system 200. The body part used by the telesurgicalrobotic system 200 operator depends on the physical relation between theoperator's body and the control component. In some aspects, the controlcomponent captured within the field of view of the control componentimage capture device 102 a is not the touch-sensitive display controlinterface 108 c, and is positioned to be actuated by the operator'sfoot, the operator's knee(s), the operator's elbow(s), etc.

What is claimed is:
 1. A control console comprising: a first inputcontrol operable by an operator and outside of a field of view of theoperator; a display within the field of view of the operator; and afirst image capture device; wherein: the first image capture deviceacquires a first image of a physical environment surrounding the firstinput control and at least part of the first input control; and thefirst image is output on the display.
 2. The control console of claim 1,wherein the first image further comprises an image of at least a part ofa body part of the operator used to operate the first input control. 3.The control console of claim 1, wherein the first image capture devicecomprises a stereoscopic image capture device.
 4. The control console ofclaim 1, further comprising: a second input control operable by theoperator and outside of the field of view of the operator; wherein thefirst image further comprises an image of at least part of the secondinput control.
 5. The control console of claim 1, wherein a second imageof a worksite captured by a second input capture device is output on thedisplay.
 6. The control console of claim 5, wherein the first image andthe second image are simultaneously output on the display.
 7. Thecontrol console of claim 1, wherein the display comprises a stereoscopicdisplay.
 8. The control console of claim 1, further comprising: one ormore sensors; wherein: the one or more sensors acquire information aboutthe physical environment and the first input control; a representationof the physical environment and the first input control are generatedfrom the information; and the representation is output on the display.9. The control console of claim 1, wherein the first input control isconfigured to provide commands for a teleoperated device, an energydelivery device, or a surgical instrument.
 10. The control console ofclaim 1, wherein the first input control is a pedal.
 11. A methodcomprising: acquiring, using a first image capture device, a first imageof a first input control operable by an operator and outside of a fieldof view of the operator, the first image comprises an image of a least apart of the first input control; and outputting the first image on adisplay within a field of view of the operator.
 12. The method of claim11, wherein the first image further comprises an image of at least apart of a body part of the operator used to operate the first inputcontrol.
 13. The method of claim 11, wherein the first image capturedevice comprises a stereoscopic image capture device.
 14. The method ofclaim 11, wherein the first image further comprises an image of at leastpart of a second input control operable by the operator and outside ofthe field of view of the operator.
 15. The method of claim 11, furthercomprising: acquiring a second image of a worksite captured by a secondinput capture device; and outputting the second image on the display.16. The method of claim 15, wherein the first image and the second imageare simultaneously output on the display.
 17. The method of claim 11,wherein the display comprises a stereoscopic display.
 18. The method ofclaim 11, further comprising: acquiring, using one or more sensors,information about the first input control and a physical environment ofthe first input control; generating a representation of the physicalenvironment and the first input control based on the information; andoutputting the representation on the display.
 19. The method of claim11, wherein the first input control is configured to provide commandsfor a teleoperated device, an energy delivery device, or a surgicalinstrument.
 20. The method of claim 11, wherein the first input controlis a pedal.